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Cited by 197 publications
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References 39 publications
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“…8,11 The capsule surrounding the facet joint has been shown to be well innervated by afferent nociceptive fibers, which are activated by mechanical stresses. 1,2,4,6,7,11 Several in vitro studies and analytical models have confirmed that facet loading is increased during extension. [5][6][7][8][12][13][14][15] Shirazi-Adl and Drouin showed that the facets carry as much as 30% of the load in the presence of 2°to 5.6°of extension rotation.…”
mentioning
confidence: 96%
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“…8,11 The capsule surrounding the facet joint has been shown to be well innervated by afferent nociceptive fibers, which are activated by mechanical stresses. 1,2,4,6,7,11 Several in vitro studies and analytical models have confirmed that facet loading is increased during extension. [5][6][7][8][12][13][14][15] Shirazi-Adl and Drouin showed that the facets carry as much as 30% of the load in the presence of 2°to 5.6°of extension rotation.…”
mentioning
confidence: 96%
“…8 -10 Although clinically difficult to diagnose, facet specific back pain is exacerbated by hyperextension and lessened in a recumbent position or flexion. 1,6,8 During extension, loading of the facet joints is increased, resulting in compression of the nerve root and central canals and deformation of the joint capsule. 6,9 It is believed that the deformation of the joint capsule is the source of pain as it stimulates nociceptors of the capsule.…”
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confidence: 99%
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“…However, due to the increased muscle effort required to stabilize abnormal postural displacements, the actual increase in load on the spine is much higher [19]. The presence of mechano-sensitive and nociceptive afferent fibers in spinal tissues (intervertebral disc, facet, ligaments, and muscles) [30,42,43,46,50]-and the subsequent neurophysiological research demonstrating the role of such afferent stimulation in pain production [9,10,11] and coordinated neuromuscular stabilization of the spine [28,29,52,53,54,55]-provide a substantial theoretical framework supporting the rationale for goals of treatment regimens to include a reduction of stresses on spinal joints in spinal rehabilitation programs.…”
Section: Variablementioning
confidence: 99%